Provider Demographics
NPI:1487153359
Name:NEWTON, HANNAH KATHERINE (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:KATHERINE
Last Name:NEWTON
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:KATHERINE
Other - Last Name:COOKSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22815 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48336-3954
Mailing Address - Country:US
Mailing Address - Phone:678-787-5821
Mailing Address - Fax:
Practice Address - Street 1:31415 FORD RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-1821
Practice Address - Country:US
Practice Address - Phone:734-367-0962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302045874183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist